This web page discusses Diarrheic Shellfish Poisoning (DSP), a gastrointestinal illness caused by the consumption of contaminated shellfish. The associated toxins are okadaic acid and its derivatives, which are produced by the marine dinoflagellate Dinophysis. This page describes clinical presentation (symptoms) of DSP, diagnosis, management and treatment, chemical structure of okadaic acid, molecular mechanism of action, and references.